绵阳职业技术学院外国留学生入学申请表Application Form for International Students请用中文或英文填写此表/Please complete the form in Chinese or English。请用黑色或蓝色签字笔填写此表/Please complete the form in marker pens。1.基本情况/Personal Information姓名Name英文姓名 (以护照用名为准)In English (Same as in your Passport)姓/Family name:照片Photo名/Given name:中文姓名(必填项,不多于 6 个汉字)In Chinese(must fill, no more than 6 characters)性别/Sex 国籍/Nationality婚姻状况/Marital Status护照号码/Passport No. 有效期至/Valid Until ____ __ 年/ Yr。 __ 月/ Mon。 日/ Date出生日期 _________年______月______日Date of Birth Yr. Mon. Date 出生地 国家 城市 Place of Birth Country City最高学位/Highest Diploma:学位证书编号/No of Diploma:最高学位毕业学校/Graduate and get the Diploma from:毕业时间/time of graduation: ____ __ 年/ Yr. __ 月/ Mon。 目前所在机构/Place of study or work now:职业/Occupation:宗教信仰/Religion:母语/Native language:电话/Tel:传真/Fax: Email:录用通知书邮寄地址/ Mailing address for the Admission package(Please inform the SXU International Student Office for any change of this address)家庭住址 /Home Address2.教育背景/Educational background学校/Institutions在校时间/Date entered and left在学状态/Qualification obtained该栏由学校填写This is to be filled out by the university编号____________ 类别____________ 专业____________ 语言____________推举____________ 费用____________ 日期____________特长及爱好/Special skill or interests:申请学习时间 (During of Study)自/ From年/yy 月/mm至/To年/yy 月/mm4.语言能力/Language Proficiency汉语/Chinese: □很好/Excellent □ 好/Good □ 较好/Fair □ 差/Poor HSK 考试等级/Level of HSK Test:英语/English: □很好/Excellent □ 好/Good □ 较好/Fair □ 差/Poor 其它语言/ Other Languages:5.申请项目/ program a. 申请院系/Department : b。 专业/Major :6.亲属情况...